OBGYN – Gyn Chart Review

[text name="name" default=""]
[text name="age" default=""]YO G[text name="gest_prior" default=""]P[text name="preg_prior" default=""] with history significant for [text name="pmh" default=""] here for [text name="cc" default=""]

HPI: 
[textarea name="hpi" fillable="" default=""]
[checklist name="pmh_check" value="DVTs|smoking|thyroid|coagulopathy"]
Symptoms to ask about: 
[textarea name="questions" fillable="" default=""]

Gyn hx: [text name="lmp" fillable="" default="lmp"] every [text name="lmp_days" fillable="true" default="how many"] days
[checklist name="aub_check" value="menopause?|abnormal uterine bleeding|intermenstrual bleeding"][textarea name="aub_hx" fillable="true" default="***age of menarche, lmp & days, period-associated symptoms***"]
[checklist name="gyn_check" value="sexually active|using contraception"][textarea name="gyn_hx" fillable="true" default="***contraception type*** ***STIs: past dx, last screening*** ***prior gyn problems (inc breast)*** ***prior gyn surgeries***"]

OB hx: 
[textarea name="ob_hx" fillable="true" default="***prior preg, weeks, vag or CS*** ***complications***"]

Meds: 
[textarea name="meds" fillable="" default=""]

Fam hx: [text name="famhx" fillable="" default=""]
[checklist name="fam_cancers" value="breast|colon|endometrial|ovarian"]
PE (what to focus): 
[textarea name="pes" fillable="" default=""] 

Labs: 
[textarea name="Labs" fillable="" default=""] 
[checklist name="gyn_check2" value="abnormal pap|pelvic US findings|mammogram"]
Imaging: 
[textarea name="imaging" fillable="" default=""] 

Ddx: 
[textarea name="ddx" fillable="" default=""]

Plan: 
[textarea name="plan" fillable="" default=""] 

Other: 
[textarea name="other_notes" fillable="" default=""]

YO GP with history significant for here for

HPI:


Symptoms to ask about:


Gyn hx: every days
Ctrl + (or )

Ctrl + (or )


OB hx:
Ctrl + (or )


Meds:


Fam hx:

PE (what to focus):


Labs:


Imaging:


Ddx:


Plan:


Other:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.19, 26 form elements, 31 boilerplate words, 9 text boxes, 12 text areas, 5 check lists, 37 total clicks
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